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Chong CC, Tam-Tham H, Hemmelgarn BR, et al. Trends in the Management of Patients With Kidney Failure in Alberta, Canada (2004-2013). Can J Kidney Health Dis. 2017;4:2054358117698668doi: 10.1177/2054358117698668.
Chong, C. C., Tam-Tham, H., Hemmelgarn, B. R., Weaver, R. G., Scott-Douglas, N., Tonelli, M., Quinn, R. R., Manns, L., & Manns, B. J. (2017). Trends in the Management of Patients With Kidney Failure in Alberta, Canada (2004-2013). Canadian journal of kidney health and disease, 42054358117698668. https://doi.org/10.1177/2054358117698668
Chong, Christy C, et al. "Trends in the Management of Patients With Kidney Failure in Alberta, Canada (2004-2013)." Canadian journal of kidney health and disease vol. 4 (2017): 2054358117698668. doi: https://doi.org/10.1177/2054358117698668
Chong CC, Tam-Tham H, Hemmelgarn BR, Weaver RG, Scott-Douglas N, Tonelli M, Quinn RR, Manns L, Manns BJ. Trends in the Management of Patients With Kidney Failure in Alberta, Canada (2004-2013). Can J Kidney Health Dis. 2017 Mar 22;4:2054358117698668. doi: 10.1177/2054358117698668. eCollection 2017. PMID: 28540058; PMCID: PMC5433679.
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Can J Kidney Health Dis. 2017 Mar 22;4:2054358117698668. doi: 10.1177/2054358117698668. eCollection 2017.

Trends in the Management of Patients With Kidney Failure in Alberta, Canada (2004-2013).

Canadian journal of kidney health and disease

Christy C Chong, Helen Tam-Tham, Brenda R Hemmelgarn, Robert G Weaver, Nairne Scott-Douglas, Marcello Tonelli, Robert R Quinn, Liam Manns, Braden J Manns

Affiliations

  1. Interdisciplinary Chronic Disease Collaboration, Calgary, Alberta, Canada.
  2. Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada.
  3. Department of Medicine, Cumming School of Medicine, University of Calgary, Alberta, Canada.
  4. Libin Cardiovascular Institute and O'Brien Institute for Public Health, University of Calgary, Alberta, Canada.
  5. Kidney Health Strategic Clinical Network, Alberta Health Services, Calgary, Canada.

PMID: 28540058 PMCID: PMC5433679 DOI: 10.1177/2054358117698668

Abstract

BACKGROUND: Based on clinical practice guidelines, specific quality indicators are examined to assess the performance of a health care system for patients with end-stage renal disease (ESRD). We examined trends in the proportion of patients with ESRD referred late to nephrology, timing of dialysis initiation in those with chronic kidney disease, and proportion of patients with ESRD treated with pre-emptive kidney transplantation or peritoneal dialysis (PD).

CONCLUSIONS: We noted improvement in late referrals and early dialysis initiation over time. However, we also noted low and stable use of pre-emptive kidney transplantation and PD at 90 days, which warrants further exploration. These findings support the need for quality improvement initiatives designed to address these gaps in care and improve outcomes for patients with kidney failure.

Keywords: chronic; health care; kidney failure; kidney transplantation; peritoneal dialysis; quality indicators; renal replacement therapy

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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